Common use of Administration and Oversight Clause in Contracts

Administration and Oversight. a. Monthly Eligibility File Submissions: Beginning June 2013, Washington must submit a monthly eligibility file to CMS’ beneficiary alignment contractor. This data will be updated into CMS’ Master Database Management (MDM) system for beneficiary attribution purposes, and used by the evaluation contractor to identify the eligible population. ▇. ▇▇▇▇▇▇▇▇▇▇ will need to provide information including but not limited to the following: 1. Beneficiary-level data identifying beneficiaries eligible for the Demonstration 2. Medicare Beneficiary Claim Account Number (HICN) 3. MSIS number 4. Social Security Number 5. Gender 6. Person First and Last Name, Birthdate, and Zip Code 7. Eligibility identification flag - Coded 0 if not identified as eligible for the Demonstration, 1 if identified by administrative criteria (e.g. claims), and 2 if by non-administrative criteria (e.g. BMI, smoking)

Administration and Oversight. a. Monthly Eligibility File Submissions: Beginning June 2013, Washington must submit a monthly eligibility file to CMS’ beneficiary alignment contractor. This data will be updated into CMS’ Master Database Management (MDM) system for beneficiary attribution purposes, and used by the evaluation contractor to identify the eligible population. ▇. ▇▇▇▇▇▇▇▇▇▇ will need to provide information including but not limited to the following: 1. Beneficiary-level data identifying beneficiaries eligible for the Demonstration 2. Medicare Beneficiary Claim Account Number (HICN) 3. MSIS ProviderOne Identification number 4. Social Security Number 5. Gender 6. Person First and Last Name, Birthdate, and Zip Code 7. Eligibility identification flag - Coded 0 if not identified as eligible for the Demonstration, 1 if identified by administrative criteria (e.g. claims), and 2 if by non-administrative criteria (e.g. BMI, smoking)